| Tina P Hanson Lmft, Llc | |
|
903 E Main St Ste 204 Auburn WA 98002-5643 | |
| (206) 718-4371 | |
| (206) 792-3626 |
| Full Name | Tina P Hanson Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 903 E Main St Ste 204, Auburn, Washington |
| Authorized Official Name and Position | Tina Phousouvanh Hanson (OWNER) |
| Authorized Official Contact | 2067184371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina P Hanson Lmft, Llc 903 E Main St Ste 204 Auburn WA 98002-5643 Ph: (206) 718-4371 | Tina P Hanson Lmft, Llc 903 E Main St Ste 204 Auburn WA 98002-5643 Ph: (206) 718-4371 |
| NPI Number | 1396324281 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396324281 | NPI | - | NPPES |
| 1083982094 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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